Patient Account Representative III-FT/Days
MemorialCare Health System
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Patient Account Representative III-FT/Days

MemorialCare Health System

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Details
Posted:
January 11, 2021
Location:
Laguna Hills, California
Salary:
Open
  1. Ability to submit Medicare, Commercial, and private pay claims in a timely fashion
  2. Demonstrates ability to precisely review and calculate all Medi-Cal, Medicare, Cal-optima and managed care payments to ensure accurate reimbursement
  3. Demonstrates ability to research and/or follow up on insurance refunds to ensure accurate account balances
  4. Monitors, Pays, Updates all Invoices from different vendors. Document appropriately in the Hospice/Health system all correspondences and other transactions in interacting with Accounts Payable and Vendors
  5. Ability to complete end-of the month closing and statistical reports
  6. Demonstrates ability to monitor and analyze Accounts Receivable (A/R) to ensure minimal number of days in A/R
  7. Ability to verify insurance coverage for all payer types for patient admissions. Makes written and or verbal inquires to third party payer to verify insurance benefits, eligibility and insurance status
  8. Obtains and tracks all authorizations for home health and hospice patients
  9. Ability to be at work and be on time
  10. Ability to follow company policies, procedures and directives
  11. Ability to interact in a positive and constructive manner
  12. Ability to prioritize and multitask

Internal Number: SAD003248
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